Program:B.
Pharm+MBA Semester: VII
Course : Health Insurance & Hospital Code:7281H006
Management
Teaching Scheme Evaluation Scheme
Internal Term End
Tutorial Continuous Examinations
Lecture Practical
(Hours Assessment (TEE)
(Hours per (Hours per Credit
per (ICA) (Marks- 50
week) week)
week) (Marks - 50 in Question
) Paper)
Marks Scaled Marks Scaled
2 0 0 2
to 50 to 50
Course Rationale:
India has witnessed a significant increase in Health Insurance coverage across
population groups. In one decade the coverage went up from 4% to 15%. This spells a
huge opportunity for the Health Insurance sector in India.
Hospitals have become complex organizations as they consume vast amount of
resources in delivering a wide range of services. The increased cost of medical care,
ageing population, and the potentially declining levels of service threaten the quality
of service delivered.
The poor quality of services not only wastes resources is positively dangerous to the
health and welfare of the patients and the community at large.
There is a need for professional trained Managers to meet with the growing needs of
the Hospital Industry segment to induct trained talent.
Course Objectives:
1. To expose the students to the huge Health Insurance sector poised for a huge leap
forward.
2. To provide Hospital Managers, current and future aspirants, a certain amount of
professional management inputs to manage the hospitals effectively and efficiently.
Learning Outcomes
1. To make students aware of the importance, procedures and current practices in the
Health Insurance industry
2. To provide students hospital management concepts, starting with a focus on the
issues and challenges in delivering good quality hospital services. To equip the
future hospital managers to satisfactorily address the concerns on customer
satisfaction.
Prerequisite(s):
Basic Finance and Pharmacy courses.
Pedagogy:
Case Study and Concepts, Project Work
Session Plan:
Sessi Topic Learning Outcomes Pedagogical Textbook
o Tool1 Chapters &
n Readings
1 Basic Principles of Understand the Lecture Text Book 1:
Insurance Fundamentals of Chapter 1,
Health Insurance Pages 3 to 20
2 The Role of Health Understand the Lecture Text Book 1:
Insurance in the growing importance Chapter 2,
Healthcare System of Health Insurance Pages 21 to 32
in India
3 The Demand for An appreciation of Lecture Text Book 1:
Health Insurance the demand side of Chapter 3,
(Nyman’s Theory) Health Insurance Pages 33 to 48
4 The Supply of Health Appreciation of the Lecture Text Book 1:
Insurance growing Chapter 3
participation of Pages 33 to 48
International
Healthcare players
5-7 The Business of -The Health Lecture Text Book 1:
Health Insurance Insurance Product Parts II & III
- Pricing of Health Pages 49 to 130
Insurance Products
-Underwriting the
Health Insurance
Products
-Controlling the
Costs of Healthcare
-The Health
Insurance Contract
-Selling and
Marketing Health
Insurance Products
-Administering
Health Insurance
8 The Performance of To understand the Lecture and Text Book 1:
the Private Health growing impact of a class Parts VI
Insurance Industry privatized Health discussion Pages 235 to
Insurance sector 314
with major
international
players
9-10 Government and -Regulation and Lecture and Text Book 1:
Health Insurance Health Insurance class Parts VII
-Medicare and discussion Pages 315 to
Medicaid 366
-Health Insurance
Reform
11 Introduction to To learn about the Lecture and Textbook 3:
different types of various kinds of class Chapter 1
hospitals and hospitals providing discussion
Hospital business Primary care
models Secondary care
Tertiary care
12 Hospital Get an Lecture and Textbook 3:
Infrastructure, understanding of Class Chapter 1
Introduction to global scope of the 5 discus
Healthcare system trillion USD sion
healthcare industry
To understand the
Indian opportunity
of improved
Healthcare needs
with rapid
improvement in
GDP
13 Hospital services and To gain an Lecture Ref Book 1:
support department understanding of all Chapter7
such as OT, Good the OT departments
operation theatre of a hospital
practices
14 Central Sterile To gain an Lecture Ref Book 1:
Services Department understanding of Chapter24
(CSSD), Blood bank, CSSD departments
of a hospital and
the stringent
sterilization
methods adopted
15 Casualty, Mortuary, To understand the Lecture Textbook 3
Ambulance and other entire spectrum of
transport services the hospital from
where the
treatment starts
and other services
linked to Casualty
16 Bio-medical Wastes To understand the Lecture Ref Book 1:
Management (BMW state of the art Chapter 13
Management) & methods as well as
methods of the legislation
disinfection, BMW pertaining to
types, segregation and Biomedical waste
disposition methods ; management and
Modern technology handling
for handling BMW
17 Disaster and mass To understand the Lecture Textbook 3
casualty management: entire spectrum of
Classification of activities pertaining
disasters, Principle of
to disasters bot
disaster management natural as well as
plan. man-made and the
response to
handling them
18 Hospital Management To appreciate how Lecture Textbook 3:
Information Systems the HMIS will help Chapter 5.3
(HMIS) & Quality managers in the
standards following decisions:
1. Strategic
2. Operational
3. Monitoring &
Control
19 Infection control To understand the Lecture Ref Book 1:
committee systems importance of well- Chapter8
and procedures laid out procedures
and committees for
infection control
20 Marketing and To understand the Lecture and
business development emerging areas of case
strategies in hospitals Medical tourism as discussion –
The 7Ss of Services also the principles Apollo
Marketing of 7Ss of Services Hospitals
Marketing
Text Book:s
Health Insurance, 1e, Michael A Morissey, AUPHA Press, 2008
Health Care and Insurance: Distortions in the financing of medical expenditures, 1e,
George Ross Fisher, Beard Books, U.S, 2001
Hospital Management Text and Case, K V Ramani, Pearson, 2013
Reference Books:
Social Reinsurance: A New approach to sustainable Community Health Financing, 1e,
David M Dror, Alexander S Precker, World Bank Publications, 2001
Healthcare spending issues in Advanced Economies, 10e, E Jenkner and Adam Leive,
International Monetary Fund, 2010
Hospital Administration and Management – A Comprehensive Guide, 2e,Joydeep Das
Gupta, Jaypee Brothers Medical Publishers, 2016
Hospital Pharmacy, Hasan
zPrinciples of Hospital Management –S.A. Tabish
Hospital Management- S.L. Goel
Hospital Administration – Francis
Bio-Medical Waste Act & RulesGovt.of India, Current Issues in BMW Waste Handling –
ISHA, Bangalore.
Journals:
International Journal of Healthcare Management
Journal of Hospital Administration
Hospital and Medical Management
Quality in Primary care
Any other information :
Total Marks of Internal Continuous Assessment (ICA) : 50 Marks
Distribution of ICA Marks :
Description of ICA Marks
Midterm Examination 20
Term Work 30
Total Marks : 50
____________
Signature
(Approved by)
Dr.Bala Prabhakar
